Individual
DR. ERLINDA M MANANSALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
675 MASSACHUSETTS AVENUE, 11TH FLOOR, CAMBRIDGE, MA 02139
(617) 876-6868
(617) 876-2491
Mailing address
BOX 381632, CAMBRIDGE, MA 02238-1632
(617) 876-6868
(617) 876-2491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0524379
—
MA
01
—
466764
VALUE OPTIONS
—
01
—
W05414
BLUE CROSS BLUE SHIELDS
MA
Enumeration date
04/27/2007
Last updated
07/09/2007
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